R4 Draft for Comment
WorkflowThis page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
. Page versions: R5 R4B R4 R3
| Clinical Decision Support Work Group | Maturity Level: N/A | Ballot Status: Informative | Compartments: Not linked to any defined compartments |
Chemotherapy Regimen
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/PlanDefinition/KDN5> a fhir:PlanDefinition;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "KDN5"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "additional" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table style=\"width: 100%;\">\n <tr>\n <td>\n <!-- link to NCCN image -->\n <div style=\"width: 200px; height: 100px; vertical-align: top;\">National Comprehensive Cancer Network</div>\n </td>\n <td>\n <h3>Chemotherapy Order Template</h3>\n <h1>Kidney Cancer</h1>\n <h2>Gemcitabine/CARBOplatin</h2>\n </td>\n <td style=\"text-align: right; vertical-align: top;\">KDN5</td>\n </tr>\n </table>\n <table style=\"width: 100%; border-top: 1px solid; border-bottom: 1px solid;\">\n <tr>\n <td style=\"width: 33%; border-right: 1px solid; vertical-align: top\">\n <h4>INDICATION:</h4>\n <p>Metastatic or Relapsed – Collecting Duct/Medullary Subtypes</p>\n </td>\n <td style=\"width: 34%; border-right: 1px solid; vertical-align: top\">\n <h4>REFERENCES:</h4>\n <ol>\n <li><a href=\"http://www.example.org/professionals/physician_gls/PDF/kidney.pdf\">NCCN Guidelines® for Kidney Cancer. V.3.2015.</a></li>\n <li><a href=\"http://www.ncbi.nlm.nih.gov/pubmed?term=%22The+Journal+of+urology%22%5BJour%5D+AND+1698%5Bpage%5D+AND+2007%5Bpdat%5D+AND+Oudard+S%5Bauthor%5D\">Oudard S, et al. <em>J Urol</em>. 2007;177(5):1698-702.</a><sup>\n <a href=\"http://www.example.org/OrderTemplates/PDF/appendix_E.pdf\">a</a></sup>\n </li>\n </ol>\n </td>\n <td style=\"width: 33%; vertical-align: top\">\n <h4>NCCN SUPPORTIVE CARE:</h4>\n <ol>\n <li>\n <i>Emetic Risk:</i>\n <table>\n <tr>\n <td>Day 1</td>\n <td>Moderate</td>\n </tr>\n <tr>\n <td>Day 8</td>\n <td>Low</td>\n </tr>\n </table>\n </li>\n <li>\n <i>Fever Neutropenia Risk:</i><br/>\n Refer to <a href=\"http://www.example.org/professionals/physician_gls/PDF/myeloid_growth.pdf\">NCCN Guidelines for Myeloid Growth Factors. V.2.2014</a>\n </li>\n </ol>\n </td>\n </tr>\n </table>\n <!-- same as the regimen section of the Composition resource only this version is without the style guide notes -->\n <h4>CHEMOTHERAPY REGIMEN</h4>\n <p>\n <i>21-day cycle for 6 cycles</i>\n </p>\n <ul>\n <li>Gemcitabine 1250 mg/m<sup>2</sup> IV over 30 minutes on Days 1 and 8</li>\n <li>CARBOplatin AUC 5 IV over 30 minutes on Day 1</li>\n </ul>\n </div>"
];
fhir:DomainResource.contained [
a fhir:ActivityDefinition;
fhir:index 0;
fhir:Resource.id [ fhir:value "1111" ];
fhir:ActivityDefinition.status [ fhir:value "draft" ];
fhir:ActivityDefinition.productCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ];
fhir:Coding.code [ fhir:value "12574" ];
fhir:Coding.display [ fhir:value "gemcitabine" ]
];
fhir:CodeableConcept.text [ fhir:value "gemcitabine" ]
];
fhir:ActivityDefinition.dosage [
fhir:index 0;
fhir:Dosage.text [ fhir:value "1250 mg/m² IV over 30 minutes" ];
fhir:Dosage.timing [
fhir:Timing.repeat [
fhir:Timing.repeat.duration [ fhir:value "30"^^xsd:decimal ];
fhir:Timing.repeat.durationUnit [ fhir:value "min" ]
]
];
fhir:Dosage.route [
fhir:CodeableConcept.text [ fhir:value "IV" ]
];
fhir:Dosage.doseQuantity [
fhir:Quantity.value [ fhir:value "1250"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "mg/m²" ]
]
]
], [
a fhir:ActivityDefinition;
fhir:index 1;
fhir:Resource.id [ fhir:value "2222" ];
fhir:ActivityDefinition.status [ fhir:value "draft" ];
fhir:ActivityDefinition.productCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ];
fhir:Coding.code [ fhir:value "40048" ];
fhir:Coding.display [ fhir:value "Carboplatin" ]
];
fhir:CodeableConcept.text [ fhir:value "CARBOplatin" ]
];
fhir:ActivityDefinition.dosage [
fhir:index 0;
fhir:Dosage.text [ fhir:value "AUC 5 IV over 30 minutes" ];
fhir:Dosage.timing [
fhir:Timing.repeat [
fhir:Timing.repeat.duration [ fhir:value "30"^^xsd:decimal ];
fhir:Timing.repeat.durationUnit [ fhir:value "min" ]
]
];
fhir:Dosage.route [
fhir:CodeableConcept.text [ fhir:value "IV" ]
];
fhir:Dosage.doseQuantity [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://example.org/fhir/AUC-dose" ];
fhir:Extension.valueInteger [ fhir:value "5"^^xsd:integer ]
]
]
]
];
fhir:PlanDefinition.identifier [
fhir:index 0;
fhir:Identifier.system [ fhir:value "http://example.org/ordertemplates" ];
fhir:Identifier.value [ fhir:value "KDN5" ]
];
fhir:PlanDefinition.version [ fhir:value "1"];
fhir:PlanDefinition.title [ fhir:value "Gemcitabine/CARBOplatin"];
fhir:PlanDefinition.type [
fhir:CodeableConcept.text [ fhir:value "Chemotherapy Order Template" ]
];
fhir:PlanDefinition.status [ fhir:value "draft"];
fhir:PlanDefinition.experimental [ fhir:value "true"^^xsd:boolean];
fhir:PlanDefinition.publisher [ fhir:value "National Comprehensive Cancer Network, Inc."];
fhir:PlanDefinition.approvalDate [ fhir:value "2016-07-27"^^xsd:date];
fhir:PlanDefinition.lastReviewDate [ fhir:value "2016-07-27"^^xsd:date];
fhir:PlanDefinition.useContext [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/usagecontext-group" ];
fhir:Extension.valueString [ fhir:value "A" ]
];
fhir:UsageContext.code [
fhir:Coding.system [ fhir:value "http://example.org/fhir/CodeSystem/indications" ];
fhir:Coding.code [ fhir:value "treamentSetting-or-diseaseStatus" ]
];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.text [ fhir:value "Metastatic" ]
]
], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/usagecontext-group" ];
fhir:Extension.valueString [ fhir:value "A" ]
];
fhir:UsageContext.code [
fhir:Coding.system [ fhir:value "http://example.org/fhir/CodeSystem/indications" ];
fhir:Coding.code [ fhir:value "disease-or-histology" ]
];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.text [ fhir:value "Collecting Duct/Medullary Subtypes" ]
]
], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/usagecontext-group" ];
fhir:Extension.valueString [ fhir:value "A" ]
];
fhir:UsageContext.code [
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/usage-context-type" ];
fhir:Coding.code [ fhir:value "focus" ]
];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.text [ fhir:value "Kidney Cancer" ]
]
], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/usagecontext-group" ];
fhir:Extension.valueString [ fhir:value "B" ]
];
fhir:UsageContext.code [
fhir:Coding.system [ fhir:value "http://example.org/fhir/CodeSystem/indications" ];
fhir:Coding.code [ fhir:value "treatmentSetting-or-diseaseStatus" ]
];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.text [ fhir:value "Relapsed" ]
]
], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/usagecontext-group" ];
fhir:Extension.valueString [ fhir:value "B" ]
];
fhir:UsageContext.code [
fhir:Coding.system [ fhir:value "http://example.org/fhir/CodeSystem/indications" ];
fhir:Coding.code [ fhir:value "disease-or-histology" ]
];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.text [ fhir:value "Collecting Duct/Medullary Subtypes" ]
]
], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/usagecontext-group" ];
fhir:Extension.valueString [ fhir:value "B" ]
];
fhir:UsageContext.code [
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/usage-context-type" ];
fhir:Coding.code [ fhir:value "focus" ]
];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.text [ fhir:value "Kidney Cancer – Collecting Duct/Medullary Subtypes - Metastatic" ]
]
];
fhir:PlanDefinition.contributor [
fhir:index 0;
fhir:Contributor.type [ fhir:value "author" ];
fhir:Contributor.name [ fhir:value "Lee Surprenant" ]
];
fhir:PlanDefinition.copyright [ fhir:value "All rights reserved."];
fhir:PlanDefinition.relatedArtifact [
fhir:index 0;
fhir:RelatedArtifact.type [ fhir:value "derived-from" ];
fhir:RelatedArtifact.display [ fhir:value "NCCN Guidelines for Kidney Cancer. V.2.2016" ];
fhir:RelatedArtifact.url [ fhir:value "http://www.example.org/professionals/physician_gls/PDF/kidney.pdf" ]
], [
fhir:index 1;
fhir:RelatedArtifact.type [
fhir:value "citation";
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://example.org/fhir/regimenReferenceType" ];
fhir:Extension.valueCode [ fhir:value "a" ]
]
];
fhir:RelatedArtifact.citation [ fhir:value "Oudard S, et al. J Urol. 2007;177(5):1698-702" ];
fhir:RelatedArtifact.url [ fhir:value "http://www.ncbi.nlm.nih.gov/pubmed/17437788" ]
];
fhir:PlanDefinition.action [
fhir:index 0;
fhir:PlanDefinition.action.selectionBehavior [ fhir:value "exactly-one" ];
fhir:PlanDefinition.action.action [
fhir:index 0;
fhir:PlanDefinition.action.selectionBehavior [ fhir:value "all" ];
fhir:PlanDefinition.action.action [
fhir:index 0;
fhir:PlanDefinition.action.groupingBehavior [ fhir:value "sentence-group" ];
fhir:PlanDefinition.action.selectionBehavior [ fhir:value "exactly-one" ];
fhir:PlanDefinition.action.action [
fhir:index 0;
fhir:Element.id [ fhir:value "cycle-definition-1" ];
fhir:PlanDefinition.action.textEquivalent [ fhir:value "21-day cycle for 6 cycles" ];
fhir:PlanDefinition.action.timingTiming [
fhir:Timing.repeat [
fhir:Timing.repeat.count [ fhir:value "6"^^xsd:integer ];
fhir:Timing.repeat.duration [ fhir:value "21"^^xsd:decimal ];
fhir:Timing.repeat.durationUnit [ fhir:value "d" ]
]
];
fhir:PlanDefinition.action.action [
fhir:index 0;
fhir:Element.id [ fhir:value "action-1" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/timing-daysOfCycle" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "day" ];
fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ]
], [
fhir:index 1;
fhir:Extension.url [ fhir:value "day" ];
fhir:Extension.valueInteger [ fhir:value "8"^^xsd:integer ]
]
];
fhir:PlanDefinition.action.textEquivalent [ fhir:value "Gemcitabine 1250 mg/m² IV over 30 minutes on days 1 and 8" ];
fhir:PlanDefinition.action.definition [
fhir:Reference.reference [ fhir:value "#1111" ]
]
], [
fhir:index 1;
fhir:Element.id [ fhir:value "action-2" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/timing-daysOfCycle" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "day" ];
fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ]
]
];
fhir:PlanDefinition.action.textEquivalent [ fhir:value "CARBOplatin AUC 5 IV over 30 minutes on Day 1" ];
fhir:PlanDefinition.action.relatedAction [
fhir:index 0;
fhir:PlanDefinition.action.relatedAction.actionId [ fhir:value "action-1" ];
fhir:PlanDefinition.action.relatedAction.relationship [ fhir:value "concurrent-with-start" ]
];
fhir:PlanDefinition.action.definition [
fhir:Reference.reference [ fhir:value "#2222" ]
]
]
]
]
]
] .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/PlanDefinition/KDN5.ttl> a owl:Ontology;
owl:imports fhir:fhir.ttl;
owl:versionIRI <http://build.fhir.org/PlanDefinition/KDN5.ttl> .
# -------------------------------------------------------------------------------------
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
®© HL7.org 2011+. FHIR Release 4 Draft for Comment (Jan-2018 v3.2.0-12885) generated on Wed, Dec 20, 2017 15:58+1100. QA Page
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